Provider Demographics
NPI:1447343751
Name:KUMAR, RAJEEV (MD)
Entity type:Individual
Prefix:DR
First Name:RAJEEV
Middle Name:
Last Name:KUMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E. HAMPDEN AVE
Mailing Address - Street 2:SUITE 510
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2736
Mailing Address - Country:US
Mailing Address - Phone:303-357-5455
Mailing Address - Fax:303-357-5459
Practice Address - Street 1:701 E. HAMPDEN AVE
Practice Address - Street 2:SUITE 510
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80013-2736
Practice Address - Country:US
Practice Address - Phone:303-357-5455
Practice Address - Fax:303-357-5459
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN354362084N0400X
CO371582084N0400X
TXM11912084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01371582Medicaid
CO811321OtherMEDICARE GROUP NUMBER
TX0061MTOtherBCBS
CO811352Medicare PIN
CO01371582Medicaid